RELATIONSHIP BETWEEN EMERGENCY OBSTETRIC HYSTERECTOMY AND MATERNAL AGE

Removal of the uterus at the time of delivery or within the puerperium period is known as emergency obstetric hysterectomy. Obstetric hysterectomy is a lifesaving procedure performed in cases of uncontrolled uterine haemorrhage in placenta previa, placenta accrete, or uterine atony. Being one of the important factors in uterine morbidity, maternal age has also a role in emergency obstetric hysterectomy. The present study was performed to identify the relation between maternal age and emergency obstetric hysterectomy. The study was conducted in tertiary care centres and medical colleges of Gujarat from May 2010 to January 2020. Data was collected from 169663 patients who delivered during the study period, 291 patients underwent emergency obstetric hysterectomy were studied for the objectives of the study. 58.07% (169 out of 291) patients in the study were more than 35 years of age. The study found a statistically signicant relationship between the maternal age and incidence rate. Summary: The incidence rate of emergency obstetric hysterectomy increases with the maternal age.

Dr. W. J. Smyly. - The Treatment of uterine Haemorrhage during the last two Months of Pregnancy. (British medic. Journal '1895, Januar 12, pp. 62-65). Treatment of uterine bleeding in the last two months of pregnancy. Roh. Barnes, prof. Byers, More Madden, et al. (Ibidem). About the same

Bleeding in women in the last two months of pregnancy often depends on the premature separation of the last (accidental), rather than on its presentation (inevitable bleeding).

Sheehans syndrome: the hidden nemesis

Sheehan’s syndrome is the name given to postpartum hypopituitarism, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or after childbirth resulting into pituitary injury in varying degrees. Most cases are diagnosed very late in life and the first presentation may be a life-threatening situation like shock or cardiorespiratory collape. This hidden nemesis in women compromises their quality of life and may result into mortality if not suspected early. In this article we present 3 patients who presented in the ICU in a state of complete cardio-respiratory collapse and later discharged in full health.